Varicocele in childhood and adolescence. Evaluation apropos of a series of 58 cases |
| |
Authors: | C Peyret H Lottmann Y Melin J Cendron |
| |
Affiliation: | Service de Chirurgie Orthopédique et Infantile, H?pital Saint-Joseph, Paris. |
| |
Abstract: | 5 to 25% of the male adolescents present with a varicocele; only those cases inducing serious discomfort or affecting the development of the testis require surgical treatment. Nevertheless the results of surgery are disappointing with a high recurrence rate. Based on a better knowledge of the testicular venous drainage, it appears that the conventional high ligation of the spermatic vein(s) might not be sufficient to cure the varicocele, fifty-eight patients were operated upon using four different procedures. Only a complete and proximal ligation of all of the visibly dilated veins seems to prevent recurrences with a follow-up of at least one year. However, out of eleven cases treated with this original procedure, one patient, already operated upon twice without success, developed secondary atrophy. |
| |
Keywords: | |
|
|